Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00221571 Renewal 03/16/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(a)For individual 2, the provided medical information does not include a comprehensive completed physical form.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. For individual 2, the provided medical information does not include a comprehensive completed physical form. On 04/12/2023, Individual 2 completed the annual physical examination, as indicated on the required annual physical examination form. All sections of the form were completed as required. 04/13/2023 Implemented